This multi-site study addressed critical gaps in the literature by assessing the prevalence of serious mental illness (SMI), posttraumatic stress disorder (PTSD), and substance use disorders (SUD) in women in jail and pathways to offending for women with and without SMI. Using a randomly selected sample (N = 491) from rural and urban jails, this study employed a structured diagnostic interview to assess current and lifetime prevalence of SMI (e.g., major depression, bipolar, and psychotic spectrum disorders), PTSD, and SUD in women in jail. Women's prior access to treatment and level of...